Antimicrobials in COVID-19 : strategies for treating a COVID-19 pandemic

© 2022 Walter de Gruyter GmbH, Berlin/Boston..

The COVID-19 pandemic continues to pose a serious global challenge, with the world engulfed in fighting second, third and fourth waves of the disease, which is reaching scary proportions in terms of cases and mortality in countries like India. Despite the urgent need of proven management protocols, there is still confusion about the best practices for treating COVID-19 with different pharmaceutical interventions. Antimicrobials are empirically used in COVID-19 patients. During the initial phase of this pandemic, hydroxychloroquine, ivermectin, azithromycin and doxycycline were widely suggested for possible prophylaxis or treatment for COVID-19 in outpatient as well as hospitalized settings. Various national and international guidelines recommended its use. However, cumulative evidence from subsequent clinical trials has revealed no significant clinical benefits in any setting, with the risk of adverse effects being high particularly in combination with azithromycin. Yet, there is continued use of antimicrobials particularly in outpatient settings which should be avoided because there is no justifiable rationale for doing so. Antimicrobial resistance (AMR) was one of the top problems for global public health before the coronavirus 2019 (COVID-19) pandemic began. AMR, which is already a difficult problem, must now be handled in the context of a changing healthcare sector.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Journal of basic and clinical physiology and pharmacology - 34(2023), 4 vom: 01. Juli, Seite 429-444

Sprache:

Englisch

Beteiligte Personen:

Shukla, Ajay Kumar [VerfasserIn]
Misra, Saurav [VerfasserIn]

Links:

Volltext

Themen:

83905-01-5
Anti-Infective Agents
Antimicrobial resistance
Azithromycin
COVID-19
Challenges
Journal Article
Review

Anmerkungen:

Date Completed 01.08.2023

Date Revised 01.08.2023

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1515/jbcpp-2022-0061

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM340320362